Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportPACIFIC PINES ASSISTED LIVING FACILITY
5850 N MANZANITA AVE, Angelus Oaks CA 92305
15 bedsLatest official report Apr 22, 2026Licensed
Additional info
- Telephone
- (909) 794-2225
- Licensee
- REDLANDS REHAB AND HEALTHCARE SYSTEMS
- Administrator
- ZAMORA, JOEL
- Contact
- ZAMORA, JOEL
- License first date
- Mar 26, 2024
- License effective date
- Mar 26, 2024
- District office
- SAN BERNARDINO ASC · (951) 248-2222
- Regional office
- 56
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 2 Type A and 3 Type B deficiencies for this facility.
- Most recent inspection
- Mar 27, 2026
- Most recent deficiency
- Mar 27, 2026
1 later report, on Apr 22, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 26 San Bernardino County facilities licensed for 7 to 15 beds, except where too few exist to state one — those come from facilities with 7 or more beds.
In the available public five-year record, CCLD published 9 reports for this facility: 2 inspections, 4 complaint investigations, and 3 licensing or administrative records.
Those records contain 2 Type A and 3 Type B deficiencies.
0 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 2
- Recorded deficiencies
- 5
- Type A deficiencies
- 2
- Type B deficiencies
- 3
- Substantiated complaints
- 0
- Repeated topics
- 0
Fewer than the typical 6
1 in the last 12 months
Fewer than the typical 7
2 in the last 12 months
About the same as most this size
0 in the last 12 months
Fewer than the typical 4
2 in the last 12 months
Fewer than the typical 1
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
No topic repeats in the last 36 months
No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Hazardous items and storageType B
- Official classification
- Type B
- Official code
- 87309(a)(1)
- Regulation authority
- CCR
What the official deficiency says
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. (1) Disinfectants, cleaning solutions, and poisonous substances shall be stored in areas separate from food supplies as specified in Section 87555, General Food Service Requirements. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above by not ensuring that cleaning supplies were stored in non-food areas which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 03/30/2026 Plan of Correction The Administrator removed the cleaning solution during the inspection. The Administrator will store cleaning solutions in appropriate areas by Plan of Correction (POC) due date.
Food serviceType B
- Official classification
- Type B
- Official code
- 87555(b)(28)
- Regulation authority
- CCR
What the official deficiency says
(28) All food shall be protected against contamination. Contaminated food shall be discarded immediately upon discovery. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and interview, the licensee did not comply with the section cited above by not ensuring that their fruit (oranges) stored in the pantry was free from the mold process, which poses/posed a potential health, safety or personal rights risk to persons in care.
Official plan of correction
POC Due Date: 04/03/2026 Plan of Correction The Administrator removed the fruit from the pantry during the inspection. The Administrator will conduct a staff training on food service - specifically in rotating foods and submit proof to LPA by Plan of Correction (POC) due date.
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportAllegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportMedical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(4)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall... (4) The licensee shall assist residents with self-administered medications... This requirement is not met as evidenced by: Based on interview and records review, the Licensee did not comply with the section cited above by not ensuring that staff are providing the required medication assistance to Resident #1 (R1), Resident #2 (R2) and Resident #3 (R3) as prescribed by their physician which poses an immediate health, safety, or personal rights risk to persons in care.
Official plan of correction
Licensee has agreed to conduct Medication Training on CCR 87465(a)(4) to all staffs dispensing medications to residents and submit proof to LPA Howell-Small on Plan of Correction (POC) due date
Deadline recorded: Oct 4, 2024. A deadline is not proof that correction was completed.
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(a)
- Regulation authority
- CCR
What the official deficiency says
87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs…This requirement is not met evidenced by: Based on observation, interview and records review, the Licensee did not comply with the section cited above by not ensuring that there are sufficient number of staff working at this location as evidenced of LPAs observed during the visit at this location that only one (1) staff working the morning shift from 06:00 AM to 02:00 PM which poses an immediate health, safety and personal rights risk to residents in care.
Official plan of correction
Licensee stated to schedule additional staff to work at this location and submit proof of updated staff schedule to LPA Howell-Small on Plan of Correction (POC) due date.
Deadline recorded: Oct 4, 2024. A deadline is not proof that correction was completed.
Fire safety and emergency preparednessType B
- Official classification
- Type B
- Official code
- 1569.695(a)(2)
- Regulation authority
- HSC
What the official deficiency says
HSC 1569.695 Emergency Plans (a) In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: (2) Plans for the facility to be self-reliant for a period of not less than 72 hours immediately following any emergency or disaster, including, but not limited to... This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above by not ensuring that this location has the required emergency supplies/kits and emergency food which poses a potential health, safety, or personal rights risk to persons in care.
Official plan of correction
Licensee stated to obtain and prepare the required emergency supplies/kits and emergency food and submit proof to LPA Howell-Small on Plan of Correction (POC) due date.
Deadline recorded: Oct 7, 2024. A deadline is not proof that correction was completed.
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology